training for rotavirus vaccine introduction
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Training for rotavirus vaccine introduction. Module 4 Rotavirus vaccine administration. Learning objectives. At the end of the module, the participant will be able to: Identify the necessary steps to assure good vaccine quality Describe the method to administer the vaccine - PowerPoint PPT PresentationTRANSCRIPT
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Training for rotavirus vaccine introductionTraining for rotavirus vaccine introduction
Module 4
Rotavirus vaccine administration
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Rotavirus vaccine administration, Module 4 | 19 April 20232 |
Learning objectivesLearning objectives
At the end of the module, the participant will be able to:
– Identify the necessary steps to assure good vaccine quality
– Describe the method to administer the vaccine– Describe special considerations for outreach
Duration– 45’
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Rotavirus vaccine administration, Module 4 | 19 April 20233 |
How to check the quality of the vaccine ?
11
How to prepare for vaccination?
22
What to do if the child spits part of the vaccine out?
44
Key issues
How to administer the vaccine ?
33
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Rotavirus vaccine administration, Module 4 | 19 April 20234 |
Before administering the vaccine, you need to check the Vaccine Vial Monitor (VVM) on the tube cap
How to check the quality of the vaccine? (1/2)
How to check the quality of the vaccine? (1/2)
Stage 1: Vaccine OK
Stage 2: Vaccine OK but use first
Stage 1: Do not use the vaccine
Stage 1: Do not use the vaccine
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Rotavirus vaccine administration, Module 4 | 19 April 20235 |
How to check the quality of the vaccine? (2/2)
How to check the quality of the vaccine? (2/2)
Before administering the vaccine, always check the expiration date on the tube cap
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Rotavirus vaccine administration, Module 4 | 19 April 20236 |
What should you do in this scenario? What should you do in this scenario?
The vaccine vial monitor shows that the inner square is lighter than the ring (= stage 2) .
What should you do?
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Rotavirus vaccine administration, Module 4 | 19 April 20237 |
Pull off the cap from the tube
Clear the fluid from the upper part of the tube by tapping the tube
How to prepare for vaccination? (1/4)How to prepare for vaccination? (1/4)
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How to prepare for vaccination? (2/4)How to prepare for vaccination? (2/4)
Turn the cap upside-down and place the cap vertically onto the tip seal
Insert the tip seal into the small hole in the top of the cap
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Rotavirus vaccine administration, Module 4 | 19 April 20239 |
How to prepare for vaccination? (3/4)How to prepare for vaccination? (3/4)
Twist the cap in the direction of the arrow (clockwise) to remove the tip seal
Do not snap off tip seal as may fall inside the tube
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Rotavirus vaccine administration, Module 4 | 19 April 202310 |
How to prepare for vaccination? (4/4)How to prepare for vaccination? (4/4)
Ensure that a hole clearly appears at the top of the tube
Ensure that the detached tip seal is inside the top of the cap
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Rotavirus vaccine administration, Module 4 | 19 April 202311 |
While opening the RotarixTM tube to administer the vaccine, the tip seal is accidentally pushed into the tube solution.
What should you do?
What should you do in this scenario?What should you do in this scenario?
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Rotavirus vaccine administration, Module 4 | 19 April 202312 |
Can rotavirus vaccine be given at the same time as other childhood vaccines?
Can rotavirus vaccine be given at the same time as other childhood vaccines?
Rotavirus vaccine can be administered with any of the following routine childhood vaccines without interfering with their effectiveness:
– Diphtheria–tetanus–pertussis vaccine (DTP)– Haemophilus influenzae type b vaccine (Hib)– Inactivated polio vaccine (IPV)– Hepatitis B vaccine– Pneumococcal vaccine– Oral polio vaccine (OPV)
Give the rotavirus vaccine first, then administer other childhood vaccines
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The child is 6 weeks old. You give him/her OPV, rotavirus and pentavalent vaccines.
In which order should you give the vaccines?
What should you do in this scenario?What should you do in this scenario?
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Rotavirus vaccine administration, Module 4 | 19 April 202314 |
The child should be seated in a semi reclining position to take the vaccine orally
How to position the child for rotavirus vaccination?
How to position the child for rotavirus vaccination?
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How to position the vaccine? How to position the vaccine?
Open the child’s mouth by gently pressing the cheeks together
Angle the tube towards the inner cheek
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Rotavirus vaccine administration, Module 4 | 19 April 202316 |
How to administer the vaccine? How to administer the vaccine?
Administer the vaccine by pressing the tube– Squeeze the tube slowly
Make sure the child is swallowing the vaccine– Hold the cheeks together and
stroke him/her under the chin to help with swallowing
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Rotavirus vaccine administration, Module 4 | 19 April 202317 |
How to administer the vaccine? How to administer the vaccine?
Administer the vaccine by pressing the tube– Squeeze the tube slowly
Make sure the child is swallowing the vaccine– Hold the cheeks together and
stroke him/her under the chin to help with swallowing
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Rotavirus vaccine administration, Module 4 | 19 April 202318 |
What to do if the infant spits out part of the vaccine?
What to do if the infant spits out part of the vaccine?
A dose of rotavirus vaccine is larger than a dose of oral polio vaccine (Rotarix™ = 1.5 mL, Polio= 3 drops)
To prevent spitting– Place the tip of the tube towards the inside of the child's cheek– Slowly administer the vaccine in small portions
A replacement dose is not needed if an incomplete dose is administered for any reason
– E.g. infant spits or regurgitates the vaccine
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Rotavirus vaccine administration, Module 4 | 19 April 202319 |
How many vials to take for outreach?How many vials to take for outreach?
Rotavirus vaccine can be given at the same time as pentavalent vaccine
For outreach take the same amount of pentavalent single dose vials as rotavirus vaccine tubes
Unused and sealed rotavirus tubes brought back from outreach should be immediately kept in the refrigerator for use in the next session
30 single doses
30 single doses
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Rotavirus vaccine administration, Module 4 | 19 April 202320 |
Key messagesKey messages
Check and interpret vaccine vial monitor and check expiration date on the tube cap before giving the vaccine
When opening the rotavirus vaccine tube, twist the tube cap clockwise to remove the tip seal
Give the rotavirus vaccine and OPV first, then administer other injectable vaccines
The rotavirus vaccine dose quantity is larger than that of oral polio vaccine (Rotarix™1.5 mL) and infants may not take the full dose all at once
– To prevent spitting, slowly administer the vaccine in small amounts and properly place the tip of the tube towards the inside of the child's cheek
– If the infant spits out some or all of the vaccine, the dose does not need to be given again during that visit
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Rotavirus vaccine administration, Module 4 | 19 April 202321 |
End of moduleEnd of module
Thank youfor your attention !